| NPI | 1013260983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SNEHAL PATEL Owner 703-436-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: VA 0401411948) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2013-02-13 |